NPI 1689954752 · live from the CMS NPI Registry
Baker City Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Baker City, OR. National Provider Identifier 1689954752, active.
NPI record
| NPI | 1689954752 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1920 Resort St, Baker City, OR 97814 |
| Practice phone | 541-523-5231 |
| Enumerated | August 22, 2011 |
| Last updated | February 5, 2014 |
| Authorized official | Jerry Yencopal, Owner/Manager |
| Other names | Baker City Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP0002658 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.